门诊护理干预在小儿舌系带成形术中的应用效果
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摘要
目的探讨门诊护理干预在小儿舌系带成形术中的应用效果。方法选取我院2016年6月～2017年8月收治的92例舌系带过短患儿作为研究对象,按照护理方法的不同分为对照组(46例)与观察组(46例)。对照组采用常规护理干预,观察组在对照组基础上加强门诊护理干预。比较两组的手术时间、护理效果以及患儿家属的满意度。结果观察组患儿的手术时间[(6.00±1.46)min]明显短于对照组[(8.69±2.48)min],差异有统计学意义(P<0.05)。观察组的合作度(95.65%)、切口愈合率(97.83%)、痊愈率(100.00%)均高于对照组的78.26%、84.78%、80.43%,相关症状发生率(2.17%)低于对照组(19.56%),差异有统计学意义(P<0.05)。观察组患儿家属对护理人员主动服务(100.00%)、态度热情(95.65%)、健康教育(100.00%)、心理支持(93.48%)、关爱患儿(97.83%)、总体服务(97.83%)的满意度均高于对照组(82.61%、80.43%、78.26%、69.57%、76.09%、80.43%),差异有统计学意义(P<0.05)。结论在小儿舌系带成形术期间实施门诊护理干预有助于疗效和护理效果的提升,效果十分满意。
Objective To explore the application effect of outpatient nursing intervention in pediatric lingual frenulum plasty. Methods From June 2016 to August 2017, 92 children with ankyloglossia treated in our hospital were selected as study objects. According to the difference of nursing methods, they were divided into the control group(46 cases)and observation group(46 cases). The control group was given with the routine nursing intervention. The observation group strengthened the outpatient nursing intervention on the basis of the control group. The operation time, nursing effect and satisfaction degree of family members of children were compared between the two groups. Results The operative time in the observation group([6.00±1.46] min) was shorter than that in the control group([8.69±2.48] min), and the difference was statistically significant(P<0.05). The cooperation degree(95.65%), wound healing rate(97.83%) and healing rate(100.00%) of the observation group were higher than those of the control group(78.26%, 84.78%, 80.43%),and the incidence of related symptoms(2.17%) was lower than that of the control group(19.56%), and the difference were statistically significant(P<0.05). The satisfaction degree of the family members of the observation group to the nursing staffs′ active service(100.00%), attitude enthusiasm(95.65%), health education(100.00%), psychological support(93.48%), caring for the children(97.83%) and overall service(97.83%) was higher than those of the control group(82.61%, 80.43%, 78.26%, 69.57%, 76.09%, 80.43%), and the differences were statistically significant(P<0.05). Conclusion Outpatient nursing intervention applied in pediatric lingual frenulum plasty is helpful to the improvement of the curative effect and nursing effect, and the effect is very satisfactory.
Objective To explore the application effect of outpatient nursing intervention in pediatric lingual frenulum plasty. Methods From June 2016 to August 2017, 92 children with ankyloglossia treated in our hospital were selected as study objects. According to the difference of nursing methods, they were divided into the control group(46 cases)and observation group(46 cases). The control group was given with the routine nursing intervention. The observation group strengthened the outpatient nursing intervention on the basis of the control group. The operation time, nursing effect and satisfaction degree of family members of children were compared between the two groups. Results The operative time in the observation group([6.00±1.46] min) was shorter than that in the control group([8.69±2.48] min), and the difference was statistically significant(P<0.05). The cooperation degree(95.65%), wound healing rate(97.83%) and healing rate(100.00%) of the observation group were higher than those of the control group(78.26%, 84.78%, 80.43%),and the incidence of related symptoms(2.17%) was lower than that of the control group(19.56%), and the difference were statistically significant(P<0.05). The satisfaction degree of the family members of the observation group to the nursing staffs′ active service(100.00%), attitude enthusiasm(95.65%), health education(100.00%), psychological support(93.48%), caring for the children(97.83%) and overall service(97.83%) was higher than those of the control group(82.61%, 80.43%, 78.26%, 69.57%, 76.09%, 80.43%), and the differences were statistically significant(P<0.05). Conclusion Outpatient nursing intervention applied in pediatric lingual frenulum plasty is helpful to the improvement of the curative effect and nursing effect, and the effect is very satisfactory.
引文
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[11]刘琼,江辉.喉罩在小儿舌系带矫正手术中的应用[J].临床外科杂志,2016,24(10):792-794.
[12]戴仁锋,王伟娟,林仁,等.七氟烷吸入全麻保留自主呼吸用于小儿舌系带矫正术的效果研究[J].口腔医学研究,2015,31(9):920-922.
[13]胡明芳,李峰,徐丽娜,等.腭裂术后舌根音异常患者的语音特点及康复训练[J].听力学及言语疾病杂志,2017,25(4):369-374.
[14]高楠,李峰,徐丽娜,等.舌尖音构音障碍的临床特点及语音训练[J].中华物理医学与康复杂志,2015,37(11):813-816.
[15]张艳云,李峰,高楠,等.边缘性舌系带过短患者异常舌尖后音的语音特点及其康复训练方法研究[J].中华物理医学与康复杂志,2016,38(10):755-759.
[2]黄椿棚,刘显,包崇云.婴幼儿舌系带过短的临床诊疗新进展[J].国际口腔医学杂志,2018,45(4):485-481.
[3]张艳云,李峰,高楠.舌系带延长术后构音障碍患者异常舌尖前音的语音特点及康复训练[J].听力学及言语疾病杂志,2017,25(1):19-23.
[4]刘梦军.先天性舌系带过短的矫正手术时机选择及抗生素应用体会[J].中国药物与临床,2018,18(3):449-451.
[5]贾英萍,李郑琛,邱永升.右美托咪定滴鼻复合七氟醚吸入麻醉在小儿舌系带成形术中的应用[J].新乡医学院学报,2015,32(8):732-734.
[6]冯岩,陈新,冉岸,等.Er:YAG激光治疗儿童舌系带过短的口腔护理[J].武警医学,2015,26(10):1075-1076.
[7]刘琼,江辉.喉罩在小儿舌系带矫正手术中的应用[J].临床外科杂志,2016,24(10):792-794.
[8]方政,邱峰,赵军方,等.舌系带矫正术后构音障碍的临床特点及语音训练效果观察[J].山东医药,2017,57(18):97-99.
[9]李郑琛,贾英萍,韩雪萍.不同剂量右美托咪定滴鼻在门诊手术患儿术前应用的比较[J].四川医学,2015,36(9):1209-1211.
[10]李伟,刘庆志,何永传.3种麻醉方法用于小儿舌系带成形术的比较[J].口腔疾病防治,2016,24(9):541-544.
[11]刘琼,江辉.喉罩在小儿舌系带矫正手术中的应用[J].临床外科杂志,2016,24(10):792-794.
[12]戴仁锋,王伟娟,林仁,等.七氟烷吸入全麻保留自主呼吸用于小儿舌系带矫正术的效果研究[J].口腔医学研究,2015,31(9):920-922.
[13]胡明芳,李峰,徐丽娜,等.腭裂术后舌根音异常患者的语音特点及康复训练[J].听力学及言语疾病杂志,2017,25(4):369-374.
[14]高楠,李峰,徐丽娜,等.舌尖音构音障碍的临床特点及语音训练[J].中华物理医学与康复杂志,2015,37(11):813-816.
[15]张艳云,李峰,高楠,等.边缘性舌系带过短患者异常舌尖后音的语音特点及其康复训练方法研究[J].中华物理医学与康复杂志,2016,38(10):755-759.